| Abd paracentesis w/imaging (49083) |
$1,701.14 |
$2,067 |
1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,085.12 |
$1,318.50 |
1.2× |
| Ablate inf turbinate submuc (30802) |
$957.15 |
$1,163 |
0.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$14,539.12 |
$17,666 |
0.8× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$12,663.50 |
$15,387 |
1.2× |
| Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) |
$10,468.56 |
$12,720 |
1.0× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$7,629.21 |
$9,270 |
1.0× |
| Abltj 1/> lvr tum prq rf (47382) |
$7,637.44 |
$9,280 |
1.2× |
| Acne surgery (10040) |
$230.44 |
$280 |
1.1× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,464.88 |
$2,995 |
1.2× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$3,557.01 |
$4,322 |
1.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,253.68 |
$5,168.50 |
1.2× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$3,059.91 |
$3,718 |
1.4× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,855.81 |
$3,470 |
1.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,065.26 |
$3,724.50 |
1.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,719.14 |
$4,519 |
1.7× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,993.66 |
$3,637.50 |
1.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$5,632.20 |
$6,843.50 |
1.7× |
| Amputate metacarpal bone (26910) |
$3,221.22 |
$3,914 |
1.0× |
| Amputation Finger/Thumb (26951) |
$4,374.66 |
$5,315.50 |
1.3× |
| Amputation foot transmetarsal (28805) |
$7,255.57 |
$8,816 |
2.1× |
| Amputation metatarsal with toe single (28810) |
$5,164.74 |
$6,275.50 |
1.5× |
| Amputation thigh through femur any level (27590) |
$5,768.41 |
$7,009 |
1.7× |
| Amputation toe interphalangeal joint (28825) |
$5,145.40 |
$6,252 |
1.5× |
| Amputation toe metatarsophalangeal joint (28820) |
$5,336.34 |
$6,484 |
1.6× |
| Amputation, forearm, through radius and ulna; re-amputation Facility (25909) |
$5,322.34 |
$6,467 |
0.7× |
| Amputation, leg, through tibia and fibula; (27880) |
$10,793.64 |
$13,115 |
1.4× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$8,128.77 |
$9,877 |
2.4× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$3,152.91 |
$3,831 |
0.9× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$2,749.64 |
$3,341 |
0.8× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
$5,579.94 |
$6,780 |
1.7× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$4,729.78 |
$5,747 |
1.4× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Facility (27594) |
$3,994.02 |
$4,853 |
1.2× |
| Analyze spine infus pump (62367) |
$833.70 |
$1,013 |
2.6× |
| Ankle disarticulation Facility (27889) |
$8,363.33 |
$10,162 |
1.1× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$1,291.28 |
$1,569 |
1.3× |
| Anoscopy Ablation Lesion (46615) |
$612.31 |
$744 |
0.2× |
| Anoscopy diagnostic (46600) |
$750.99 |
$912.50 |
5.5× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$1,777.68 |
$2,160 |
1.4× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$808.18 |
$982 |
0.8× |
| Anoscopy; with biopsy, single or multiple (46606) |
$3,578.40 |
$4,348 |
2.9× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$948.92 |
$1,153 |
0.8× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$3,711.73 |
$4,510 |
1.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,483.04 |
$1,802 |
0.5× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$3,394.88 |
$4,125 |
0.7× |
| Appendectomy (44950) |
$4,485.35 |
$5,450 |
0.7× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$682.88 |
$829.75 |
4.1× |
| Appl Multlay Comprs Arm/Hand (29584) |
$218.10 |
$265 |
1.3× |
| Appl skin cell ssp agrft t/a/l 1st 480 sq cm/< (15015) |
$2,889.55 |
$3,511 |
1.4× |
| Application cast elbow finger short arm (29075) |
$529.60 |
$643.50 |
1.8× |
| Application cast shoulder hand long arm (29065) |
$429.60 |
$522 |
1.5× |
| Application Finger Splint Dynamic (29131) |
$260.89 |
$317 |
4.3× |
| Application finger splint static (29130) |
$204.10 |
$248 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$517.26 |
$628.50 |
3.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$670.74 |
$815 |
2.3× |
| Application of long leg cast (29345) |
$685.15 |
$832.50 |
2.4× |
| Application of rigid total contact leg cast (29445) |
$960.86 |
$1,167.50 |
3.3× |
| Application Short Arm Splint Dynamic (29126) |
$497.92 |
$605 |
3.6× |
| Application short arm splint forearm-hand static (29125) |
$429.40 |
$521.75 |
3.1× |
| Application uniplane external fixation system (20690) |
$3,950.40 |
$4,800 |
0.5× |
| Apply Hand/Wrist Cast (29085) |
$525.90 |
$639 |
3.1× |
| Apply long leg splint (29505) |
$414.79 |
$504 |
2.5× |
| Apply short leg cast (29405) |
$553.88 |
$673 |
1.9× |
| Apply short leg cast (29425) |
$546.88 |
$664.50 |
1.9× |
| Apply short leg splint (29515) |
$365.20 |
$443.75 |
2.2× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Facility (27485) |
$6,243.28 |
$7,586 |
0.8× |
| Arterial puncture (36600) |
$119.74 |
$145.50 |
0.9× |
| Arteriovenous Anastomosis Open Direct (36821) |
$9,633.22 |
$11,705 |
3.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$6,407.06 |
$7,785 |
1.1× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$10,803.52 |
$13,127 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$483.51 |
$587.50 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,206.93 |
$1,466.50 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$602.23 |
$731.75 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,498.27 |
$1,820.50 |
4.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$520.14 |
$632 |
1.6× |
| Arthrodesis ankle open (27870) |
$6,936.24 |
$8,428 |
0.5× |
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure |
$2,881.32 |
$3,501 |
0.4× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$4,694.39 |
$5,704 |
0.6× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$4,230.22 |
$5,140 |
1.3× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure |
$9,846.37 |
$11,964 |
0.4× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$19,675.46 |
$23,907 |
1.1× |
Arthrodesis; subtalar (28725)
unusually low: confirm this is the full procedure |
$6,376.60 |
$7,748 |
0.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$9,539.39 |
$11,591 |
0.5× |
Arthroplasty radial head (24365)
likely a partial charge, not the full procedure |
$3,910.07 |
$4,751 |
0.3× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$5,548.67 |
$6,742 |
1.6× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$7,599.58 |
$9,234 |
0.6× |
Arthroplasty, radial head; with implant Facility (24366)
unusually low: confirm this is the full procedure |
$4,339.68 |
$5,273 |
0.3× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$6,239.99 |
$7,582 |
0.8× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$4,344.62 |
$5,279 |
1.3× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,310.93 |
$4,023 |
1.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,115.82 |
$5,001 |
1.2× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$4,512.51 |
$5,483 |
1.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$3,307.64 |
$4,019 |
1.0× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$5,875.40 |
$7,139 |
1.7× |
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836)
unusually low: confirm this is the full procedure |
$3,068.14 |
$3,728 |
0.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$3,141.39 |
$3,817 |
0.9× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$3,431.09 |
$4,169 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,598.16 |
$4,372 |
1.1× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,745.47 |
$4,551 |
1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,690.99 |
$8,130 |
2.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$6,077.86 |
$7,385 |
0.8× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$7,018.54 |
$8,528 |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,950.40 |
$4,800 |
1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,849.83 |
$8,323 |
0.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,081.09 |
$8,604 |
0.9× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$3,384.18 |
$4,112 |
2.0× |
| Arthrotomy with biopsy; interphalangeal joint Facility (28054) |
$2,255.84 |
$2,741 |
0.7× |
| Arthrotomy with biopsy; metatarsophalangeal joint Facility (28052) |
$2,603.15 |
$3,163 |
0.8× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$4,212.11 |
$5,118 |
1.2× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$3,744.65 |
$4,550 |
1.1× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$5,296 |
$6,435 |
1.6× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$6,474.54 |
$7,867 |
0.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$4,134.75 |
$5,024 |
1.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,688.74 |
$3,267 |
1.6× |
| Artificial Insemination Intra-Uterine (58322) |
$292.99 |
$356 |
1.4× |
| Aspirate pleura w/ imaging (32555) |
$3,091.60 |
$3,756.50 |
4.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$568.69 |
$691 |
1.8× |
| Aspiration and injection for treatment of bone cyst (20615) |
$1,085.54 |
$1,319 |
1.5× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,506.91 |
$1,831 |
2.1× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,700.26 |
$3,281 |
1.3× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$3,916.24 |
$4,758.50 |
1.6× |
| Av fistula revision (36833) |
$7,830.02 |
$9,514 |
1.4× |
| Av Fuse Uppr Arm Basilic (36819) |
$6,685.23 |
$8,123 |
1.2× |
| Av fusion/forearm vein (36820) |
$9,587.13 |
$11,649 |
1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$411.09 |
$499.50 |
2.0× |
| Biopsy bone open deep (20245) |
$4,463.54 |
$5,423.50 |
1.5× |
| Biopsy bone open superficial (20240) |
$3,242.62 |
$3,940 |
1.1× |
| Biopsy bone trocar/needle deep (20225) |
$2,469.82 |
$3,001 |
1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$838.64 |
$1,019 |
0.5× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,599.91 |
$1,944 |
1.7× |
| Biopsy External Auditory Canal (69105) |
$482.28 |
$586 |
0.3× |
| Biopsy external ear (69100) |
$399.98 |
$486 |
1.6× |
| Biopsy intranasal (30100) |
$539.06 |
$655 |
0.3× |
| Biopsy muscle deep (20205) |
$989.25 |
$1,202 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$1,598.27 |
$1,942 |
0.9× |
| Biopsy Nail Unit Separate Procedure (11755) |
$406.56 |
$494 |
0.6× |
| Biopsy Nerve (64795) |
$699.55 |
$850 |
0.3× |
| Biopsy of breast; open, incisional (19101) |
$1,908.54 |
$2,319 |
0.5× |
| Biopsy of lip (40490) |
$684.74 |
$832 |
2.8× |
| Biopsy of mouth lesion (40808) |
$723.42 |
$879 |
1.3× |
| Biopsy of palate, uvula (42100) |
$626.30 |
$761 |
0.4× |
| Biopsy of penis (54100) |
$623.01 |
$757 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,626.19 |
$3,191 |
0.6× |
| Biopsy pleura percutaneous needle (32400) |
$1,303.22 |
$1,583.50 |
0.8× |
| Biopsy Salivary Gland,Needle (42400) |
$1,557.52 |
$1,892.50 |
2.1× |
| Biopsy soft tissue neck/thorax (21550) |
$1,738.18 |
$2,112 |
1.0× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$3,917.48 |
$4,760 |
2.3× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,151.38 |
$1,399 |
0.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$343.19 |
$417 |
0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$410.68 |
$499 |
0.4× |
| Biopsy/removal lymph nodes (38525) |
$5,520.28 |
$6,707.50 |
1.4× |
| Biopsy/removal lymph nodes (38510) |
$7,894.63 |
$9,592.50 |
2.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$757.57 |
$920.50 |
1.1× |
| Bladder Irrigation Simple (51700) |
$396.28 |
$481.50 |
1.5× |
| Blepharoplasty lower eyelid (15820) |
$1,646 |
$2,000 |
0.8× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$3,823.86 |
$4,646.25 |
1.8× |
| Blepharoplasty, Upper Eyelid (15822) |
$2,148.03 |
$2,610 |
1.0× |
| Blepharotomy drain absc eyelid (67700) |
$690.50 |
$839 |
2.1× |
| Blood patch (62273) |
$1,038.62 |
$1,262 |
1.4× |
| Blood transfusion service (36430) |
$739.05 |
$898 |
1.6× |
| Blood/Lymph System Procedure (38999) |
$2,932.35 |
$3,563 |
6.4× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
likely a partial charge, not the full procedure |
$1,754.64 |
$2,132 |
0.2× |
| Bone marrow aspiration only (38220) |
$918.47 |
$1,116 |
0.5× |
| Bone Marrow Biopsy (38221) |
$1,145.20 |
$1,391.50 |
0.7× |
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure |
$2,407.28 |
$2,925 |
0.3× |
Breast Reduction (19318)
unusually low: confirm this is the full procedure |
$2,853.75 |
$3,467.50 |
0.4× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$3,090.36 |
$3,755 |
1.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$3,215.88 |
$3,907.50 |
1.8× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$3,379.44 |
$4,106.25 |
0.9× |
| Bronch ebus samplng 1/2 node (31652) |
$3,082.14 |
$3,745 |
0.8× |
| Bronch ebus samplng 3/> node (31653) |
$2,993.25 |
$3,637 |
0.8× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,883.79 |
$3,504 |
1.6× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,720.84 |
$3,306 |
1.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,413.04 |
$2,932 |
1.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,055.85 |
$2,498 |
1.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,170.72 |
$1,422.50 |
0.7× |
| Bx anorectal wall anal approach (45100) |
$4,076.32 |
$4,953 |
1.4× |
| Bx breast 1st lesion mr imag (19085) |
$7,970.76 |
$9,685 |
4.7× |
| Bx breast 1st lesion strtctc (19081) |
$3,567.30 |
$4,334.50 |
2.1× |
| Bx breast 1st lesion us imag (19083) |
$4,226.10 |
$5,135 |
2.5× |
| Bx/exc lymph node needle superficial (38505) |
$1,645.80 |
$1,999.75 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,321.63 |
$4,036 |
1.0× |
| Cataract surgery complex (66982) |
$5,405.46 |
$6,568 |
2.3× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$1,061.67 |
$1,290 |
3.4× |
| Cessj Therapy Cath Removal (37214) |
$10,649.62 |
$12,940 |
3.3× |
| Change Cystostomy Tube Complicated (51710) |
$615.19 |
$747.50 |
0.9× |
| Change of cystostomy tube simple (51705) |
$539.06 |
$655 |
2.1× |
| Change Ureter Stent, Percut (50382) |
$4,730.19 |
$5,747.50 |
2.2× |
| Chemical cautery tissue (17250) |
$369.94 |
$449.50 |
1.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$912.71 |
$1,109 |
1.3× |
| Chemodenerv Eccrine Glands (64650) |
$493.80 |
$600 |
1.6× |
| Chemodenerv musc migraine (64615) |
$1,022.16 |
$1,242 |
3.2× |
| Chemodenerv Musc Neck Dyston (64616) |
$724.65 |
$880.50 |
2.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$2,752.94 |
$3,345 |
3.8× |
| Chemodenerv trunk musc 6/> (64647) |
$816.42 |
$992 |
1.1× |
| Chemodenervation internal anal sphincter (46505) |
$3,413.80 |
$4,148 |
2.8× |
| Chemodenervation of extraocular muscle (67345) |
$1,191.70 |
$1,448 |
3.6× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$1,227.92 |
$1,492 |
1.7× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$593.80 |
$721.50 |
1.9× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,692.44 |
$3,271.50 |
1.2× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$5,500.94 |
$6,684 |
1.5× |
| Circum 28 days or older (54161) |
$1,283.06 |
$1,559 |
0.6× |
| Circumcision (54150) |
$699.14 |
$849.50 |
0.3× |
| Claviculectomy partial (23120) |
$3,924.89 |
$4,769 |
1.2× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$1,106.12 |
$1,344 |
4.3× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$6,593.05 |
$8,011 |
25.9× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$1,436.14 |
$1,745 |
5.6× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$3,249.20 |
$3,948 |
2.0× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,987.96 |
$2,415.50 |
7.8× |
| Closed Rx Radial Shaft Fx (25500) |
$1,573.98 |
$1,912.50 |
6.2× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$3,529.44 |
$4,288.50 |
2.1× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$1,082.24 |
$1,315 |
4.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,914.71 |
$2,326.50 |
7.5× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,353.42 |
$1,644.50 |
5.3× |
| Closed treat wrist dislocation (25660) |
$2,113.46 |
$2,568 |
8.3× |
| Closed Treatment Coccygeal Fracture (27200) |
$767.04 |
$932 |
3.0× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$893.78 |
$1,086 |
0.3× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,970.26 |
$2,394 |
7.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,936.52 |
$2,353 |
7.6× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$4,943.76 |
$6,007 |
3.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$1,664.92 |
$2,023 |
6.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,657.94 |
$2,014.50 |
6.5× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,604.03 |
$1,949 |
6.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$1,708.54 |
$2,076 |
6.7× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$1,834.47 |
$2,229 |
7.2× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,261.20 |
$2,747.50 |
1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$3,073.08 |
$3,734 |
12.1× |
| Closed Treatment Sternum Fracture (21820) |
$1,031.22 |
$1,253 |
4.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,357.95 |
$1,650 |
5.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$2,753.76 |
$3,346 |
10.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,218.76 |
$3,911 |
1.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,690.03 |
$2,053.50 |
6.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$3,199.41 |
$3,887.50 |
12.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,520.08 |
$1,847 |
6.0× |
| Closed tx lunate dislocation w/manipulation (25690) |
$4,080.43 |
$4,958 |
2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,753.40 |
$2,130.50 |
6.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,885.38 |
$4,721 |
2.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$3,284.59 |
$3,991 |
2.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$3,385.41 |
$4,113.50 |
13.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,622.13 |
$1,971 |
6.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,795.32 |
$3,396.50 |
1.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$2,198.64 |
$2,671.50 |
8.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,219.16 |
$3,911.50 |
1.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,582.16 |
$3,137.50 |
1.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$1,322.56 |
$1,607 |
5.2× |
| Closed tx septal&nose fx (21337) |
$2,583.40 |
$3,139 |
0.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$1,411.44 |
$1,715 |
5.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,190.42 |
$2,661.50 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$204.72 |
$248.75 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,505.16 |
$4,259 |
2.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$1,681.80 |
$2,043.50 |
6.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$2,374.36 |
$2,885 |
9.3× |
| Closure of gastrostomy, surgical (43870) |
$4,649.95 |
$5,650 |
1.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$1,135.33 |
$1,379.50 |
4.6× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$1,058.38 |
$1,286 |
3.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,226.68 |
$1,490.50 |
4.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,157.08 |
$2,621 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$2,685.04 |
$3,262.50 |
10.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,364.42 |
$4,088 |
2.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,923.76 |
$2,337.50 |
1.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,946.40 |
$2,365 |
7.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,552.12 |
$3,101 |
1.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$2,069.84 |
$2,515 |
8.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$2,106.47 |
$2,559.50 |
8.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,737.76 |
$2,111.50 |
6.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$2,304.81 |
$2,800.50 |
9.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$1,033.28 |
$1,255.50 |
4.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,546 |
$1,878.50 |
6.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$4,833.28 |
$5,872.75 |
2.9× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$3,850 |
$4,678 |
2.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$4,238.86 |
$5,150.50 |
2.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$3,347.96 |
$4,068 |
13.2× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$4,636.37 |
$5,633.50 |
2.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$4,832.66 |
$5,872 |
2.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,069.49 |
$1,299.50 |
4.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$1,348.48 |
$1,638.50 |
5.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$1,120.10 |
$1,361 |
4.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$1,015.58 |
$1,234 |
4.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,660.34 |
$3,232.50 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$2,510.15 |
$3,050 |
9.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$940.28 |
$1,142.50 |
3.7× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$1,328.32 |
$1,614 |
5.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,155.85 |
$2,619.50 |
1.3× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$3,162.79 |
$3,843 |
1.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$3,211.34 |
$3,902 |
1.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$760.46 |
$924 |
3.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$7,031.71 |
$8,544 |
4.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,873.92 |
$3,492 |
10.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,793.32 |
$2,179 |
7.0× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$2,566.12 |
$3,118 |
10.1× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$3,350.44 |
$4,071 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$2,422.50 |
$2,943.50 |
9.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,665.34 |
$2,023.50 |
6.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,616.32 |
$3,179 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,846.40 |
$2,243.50 |
7.3× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$921.76 |
$1,120 |
0.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$731.24 |
$888.50 |
2.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,499.92 |
$1,822.50 |
5.9× |
| Cltx post ankle fx w/mnpj (27768) |
$2,698.62 |
$3,279 |
1.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$4,087.02 |
$4,966 |
2.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,765.34 |
$2,145 |
6.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,355.42 |
$2,862 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,269.48 |
$1,542.50 |
5.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,941.81 |
$3,574.50 |
1.8× |
| Cltx prox tibfib jt dislc req anes (27831) |
$2,054.21 |
$2,496 |
0.6× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,718.42 |
$2,088 |
6.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$660.87 |
$803 |
2.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,766.52 |
$3,361.50 |
1.7× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$3,286.65 |
$3,993.50 |
2.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,093.24 |
$3,758.50 |
1.9× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$5,136.76 |
$6,241.50 |
3.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$2,659.11 |
$3,231 |
10.4× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$951.39 |
$1,156 |
3.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,535.20 |
$4,295.50 |
2.1× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$4,360.25 |
$5,298 |
17.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,276.47 |
$1,551 |
5.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$158.02 |
$192 |
1.2× |
| Colonoscopy flex w/blln dilat (45386) |
$2,639.36 |
$3,207 |
2.1× |
| Colonoscopy flex w/inj submuc (45381) |
$2,617.56 |
$3,180.50 |
2.1× |
| Colonoscopy flex w/rem forcep (45384) |
$2,895.72 |
$3,518.50 |
2.3× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$2,442.25 |
$2,967.50 |
2.0× |
| Colonoscopy Flx With Endoscopic Stent Placement (45389) |
$3,491.99 |
$4,243 |
0.6× |
| Colonoscopy Stoma Control Bleeding (44391) |
$2,994.90 |
$3,639 |
2.4× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$2,444.31 |
$2,970 |
2.0× |
| Colonoscopy stoma w/biopsy (44389) |
$2,448.02 |
$2,974.50 |
2.0× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$3,786.62 |
$4,601 |
3.1× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$2,940.58 |
$3,573 |
2.4× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$2,089.60 |
$2,539 |
1.7× |
| Colonoscopy thru stoma (44388) |
$2,172.30 |
$2,639.50 |
2.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,896.55 |
$3,519.50 |
2.3× |
| Colonoscopy w/ablation (45388) |
$3,132.75 |
$3,806.50 |
2.5× |
| Colonoscopy w/band ligation (45398) |
$3,148.38 |
$3,825.50 |
2.5× |
| Colonoscopy w/endoscopic fnb (45392) |
$3,480.47 |
$4,229 |
2.8× |
| Colonoscopy w/fb removal (45379) |
$2,926.59 |
$3,556 |
2.4× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$3,417.10 |
$4,152 |
2.8× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$3,029.05 |
$3,680.50 |
1.1× |
| Colpocleisis (le fort type) (57120) |
$2,755.40 |
$3,348 |
0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$573.63 |
$697 |
1.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$410.68 |
$499 |
2.0× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$530.01 |
$644 |
1.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,516.38 |
$1,842.50 |
0.5× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$1,088.83 |
$1,323 |
0.3× |
| Colposcopy vulva (56820) |
$404.92 |
$492 |
1.9× |
| Colposcopy vulva w/biopsy (56821) |
$541.53 |
$658 |
1.7× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$492.15 |
$598 |
1.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$573.63 |
$697 |
0.6× |
| Combined anteroposterior colporrhaphy; (57260) |
$4,208 |
$5,113 |
0.8× |
| Complex Uroflowmetry (51741) |
$419.73 |
$510 |
1.9× |
| Conization of cervix (57520) |
$1,855.04 |
$2,254 |
0.6× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$546.88 |
$664.50 |
2.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$536.60 |
$652 |
3.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$575.28 |
$699 |
4.2× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$1,116.81 |
$1,357 |
2.0× |
| Conversion ext bil drg cath (47535) |
$5,571.71 |
$6,770 |
1.5× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,403.22 |
$1,705 |
0.7× |
| Convert nephrostomy catheter (50434) |
$5,839.18 |
$7,095 |
2.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,084.25 |
$2,532.50 |
1.2× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$557.99 |
$678 |
1.2× |
| Correction hammertoe (28285) |
$3,658.24 |
$4,445 |
1.1× |
| Correction of bunion (28292) |
$8,018.49 |
$9,743 |
2.4× |
Correction of bunion (28297)
unusually low: confirm this is the full procedure |
$5,323.16 |
$6,468 |
0.4× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$244.84 |
$297.50 |
1.8× |
| Cover eye w/membrane (65778) |
$10,696.53 |
$12,997 |
10.4× |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830)
unusually low: confirm this is the full procedure |
$2,013.06 |
$2,446 |
0.4× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$153.08 |
$186 |
2.5× |
| Csf shunt reprogram (62252) |
$213.16 |
$259 |
0.7× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$1,988.37 |
$2,416 |
8.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$650.17 |
$790 |
4.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$876.29 |
$1,064.75 |
0.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,674.34 |
$3,249.50 |
1.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,973.03 |
$4,827.50 |
1.1× |
| Cysto w/destruction of lesions (52214) |
$3,190.36 |
$3,876.50 |
0.9× |
| Cysto w/insert ureteral stent (52332) |
$4,933.48 |
$5,994.50 |
1.4× |
| Cysto w/removal of tumors small (52234) |
$3,012.59 |
$3,660.50 |
0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,312.27 |
$1,594.50 |
0.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,977.56 |
$4,833 |
1.1× |
| Cysto/uretero w/lithotripsy (52356) |
$3,146.95 |
$3,823.75 |
0.6× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
unusually low: confirm this is the full procedure |
$2,263.25 |
$2,750 |
0.4× |
| Cystometrogram w/vp (51728) |
$1,313.51 |
$1,596 |
1.8× |
| Cystometrogram W/Vp&Up (51729) |
$1,790.02 |
$2,175 |
2.5× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,586.58 |
$5,573 |
2.1× |
| Cystouretero & or pyeloscope (52351) |
$2,111.82 |
$2,566 |
0.6× |
| Cystourethroscopy (52000) |
$1,373.58 |
$1,669 |
1.9× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$3,557.83 |
$4,323 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,487.98 |
$1,808 |
0.7× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$1,687.97 |
$2,051 |
0.5× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$2,810.54 |
$3,415 |
0.5× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$3,045.92 |
$3,701 |
1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$217.28 |
$264 |
0.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,644.72 |
$3,213.50 |
0.9× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$4,138.87 |
$5,029 |
1.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,570.70 |
$1,908.50 |
2.1× |
| Debride nail 1-5 (11720) |
$127.98 |
$155.50 |
2.1× |
| Debride nail 6 or more (11721) |
$156.78 |
$190.50 |
2.6× |
| Debride skin musc at fx site (11011) |
$2,763.63 |
$3,358 |
3.8× |
| Debride tissue/muscle (11043) |
$1,465.76 |
$1,781 |
1.9× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$711.90 |
$865 |
1.3× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$432.90 |
$526 |
2.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$852.62 |
$1,036 |
2.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,696.97 |
$3,277 |
1.6× |
| Declot vascular device (36593) |
$427.96 |
$520 |
1.3× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,708.55 |
$2,076 |
1.0× |
| Decompression of lower leg (27600) |
$1,686.33 |
$2,049 |
0.5× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$1,493.74 |
$1,815 |
0.7× |
| Delivery placenta separate procedure (59414) |
$1,394.16 |
$1,694 |
0.4× |
| Destroy cerv/thor facet jnt (64633) |
$2,620.02 |
$3,183.50 |
1.3× |
| Destroy internal hemorrhoids (46930) |
$1,085.95 |
$1,319.50 |
0.9× |
| Destroy lumb/sac facet jnt (64635) |
$2,670.63 |
$3,245 |
1.3× |
| Destruction Benign Lesions 15/> (17111) |
$524.66 |
$637.50 |
2.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$356.77 |
$433.50 |
1.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,310.16 |
$2,807 |
2.5× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,526.25 |
$1,854.50 |
1.7× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$902.83 |
$1,097 |
2.8× |
| Destruction Lesions Vulva Simple (56501) |
$637 |
$774 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$539.06 |
$655 |
2.6× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$432.90 |
$526 |
2.1× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$639.88 |
$777.50 |
1.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$437.84 |
$532 |
2.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$693.38 |
$842.50 |
3.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$756.74 |
$919.50 |
3.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$811.88 |
$986.50 |
1.9× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$543.18 |
$660 |
1.3× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$428.78 |
$521 |
2.1× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$496.27 |
$603 |
2.4× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$736.59 |
$895 |
3.6× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$604.08 |
$734 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$516.02 |
$627 |
1.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$283.94 |
$345 |
1.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,207.70 |
$2,682.50 |
1.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$678.15 |
$824 |
0.3× |
| Destruction Premalignant Lesion 15/> (17004) |
$669.10 |
$813 |
1.6× |
| Destruction premalignant lesion 1st (17000) |
$428.78 |
$521 |
2.1× |
| Destruction Vaginal Lesions Simple (57061) |
$582.68 |
$708 |
0.2× |
| Diagnostic anoscopy (46601) |
$1,251.78 |
$1,521 |
2.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,215.16 |
$1,476.50 |
1.7× |
| Diagnostic sigmoidoscopy (45330) |
$906.54 |
$1,101.50 |
0.9× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,290.46 |
$1,568 |
1.0× |
| Dilate urethra stricture (53600) |
$280.64 |
$341 |
1.1× |
| Dilation and curettage (58120) |
$1,593.33 |
$1,936 |
0.5× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,237.79 |
$1,504 |
1.3× |
| Dilation esophagus over guide wire (43453) |
$1,292.11 |
$1,570 |
0.7× |
| Dilation Nasolacrimal Duct (68801) |
$469.11 |
$570 |
1.0× |
| Dilation of anal sphincter (45905) |
$2,966.09 |
$3,604 |
2.4× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045) |
$3,862.34 |
$4,693 |
0.7× |
| Disarticulation At Knee (27598) |
$11,175.52 |
$13,579 |
3.3× |
| Division of scalenus anticus; with resection of cervical rib Facility (21705) |
$4,222.81 |
$5,131 |
0.6× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,344.37 |
$1,633.50 |
0.8× |
| Drain lower leg bursa (27604) |
$2,226.22 |
$2,705 |
0.7× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,190.47 |
$1,446.50 |
1.6× |
| Drain shoulder bursa (23031) |
$1,664.11 |
$2,022 |
0.6× |
| Drain Spinal Cord Cyst (62268) |
$2,211.40 |
$2,687 |
2.4× |
| Drain/inj small joint/bursa w/us (20604) |
$1,497.86 |
$1,820 |
4.7× |
| Drainage abscess/hematoma nasal int approach (30000) |
$845.64 |
$1,027.50 |
3.5× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,079.78 |
$1,312 |
1.9× |
| Drainage external auditory canal abscess (69020) |
$632.89 |
$769 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,005.70 |
$1,222 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,295 |
$1,573.50 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$812.72 |
$987.50 |
3.9× |
| Drainage Mouth Roof Lesion (42000) |
$920.11 |
$1,118 |
3.8× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$1,151.38 |
$1,399 |
2.1× |
| Drainage of gum lesion (41800) |
$1,414.74 |
$1,719 |
10.3× |
| Drainage of hematoma/fluid (10140) |
$1,469.06 |
$1,785 |
0.9× |
| Drainage of hydrocele (55000) |
$404.09 |
$491 |
0.6× |
| Drainage of mouth lesion (41017) |
$2,999.84 |
$3,645 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$1,141.09 |
$1,386.50 |
0.7× |
| Drainage tendon sheath digit&/palm each (26020) |
$4,497.70 |
$5,465 |
1.3× |
| Draw blood off venous device (36591) |
$140.73 |
$171 |
1.0× |
| Dressing change under anesthesia (15852) |
$232.91 |
$283 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$744 |
$904 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$616.02 |
$748.50 |
3.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$382.28 |
$464.50 |
1.8× |
| Dstrj lesion anus simple surg excision (46922) |
$2,605.62 |
$3,166 |
0.9× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$434.54 |
$528 |
1.0× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$570.75 |
$693.50 |
2.8× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$3,608.86 |
$4,385 |
4.0× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,976.84 |
$2,402 |
2.2× |
| Dx bone marrow bx & aspir (38222) |
$1,169.07 |
$1,420.50 |
0.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$998.71 |
$1,213.50 |
0.5× |
Ear Cartilage Graft (21235)
unusually low: confirm this is the full procedure |
$2,966.92 |
$3,605 |
0.5× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$3,434.38 |
$4,173 |
1.7× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,069.84 |
$2,515 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,724.54 |
$3,310.50 |
1.4× |
| Egd band ligation esophgeal/gastric varices (43244) |
$3,196.53 |
$3,884 |
1.6× |
| Egd control bleeding any (43255) |
$2,656.64 |
$3,228 |
1.3× |
| Egd deliver thermal energy sphnctr/cardia gerd (43257) |
$1,157.14 |
$1,406 |
0.3× |
| Egd dilate stricture (43245) |
$2,231.56 |
$2,711.50 |
1.1× |
| Egd endo mucosal resection (43254) |
$2,606.86 |
$3,167.50 |
1.3× |
Egd endoscopic stent place (43266)
unusually low: confirm this is the full procedure |
$2,752.11 |
$3,344 |
0.4× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$2,187.53 |
$2,658 |
1.1× |
| Egd flexible foreign body removal (43247) |
$2,162.02 |
$2,627 |
2.3× |
| Egd guide wire insertion (43248) |
$2,056.68 |
$2,499 |
2.2× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,508.92 |
$3,048.50 |
1.3× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$3,412.98 |
$4,147 |
1.7× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$3,053.33 |
$3,710 |
1.5× |
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure |
$2,836.06 |
$3,446 |
0.3× |
| Egd place gastrostomy tube (43246) |
$2,697.79 |
$3,278 |
1.4× |
| Egd remove lesion snare (43251) |
$2,510.98 |
$3,051 |
1.3× |
| Egd tube/cath insertion (43241) |
$1,879.73 |
$2,284 |
0.9× |
| Egd us exam duodenum/jejunum (43259) |
$2,994.90 |
$3,639 |
1.5× |
| Egd us transmural injxn/mark (43253) |
$3,250.85 |
$3,950 |
1.6× |
| Egd w/transmural drain cyst (43240) |
$4,490.29 |
$5,456 |
0.7× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$885.55 |
$1,076 |
2.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$924.23 |
$1,123 |
2.9× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$8,887.38 |
$10,798.75 |
1.5× |
Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101)
likely a partial charge, not the full procedure |
$1,596.62 |
$1,940 |
0.3× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Facility (34203) |
$7,178.21 |
$8,722 |
1.2× |
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111)
likely a partial charge, not the full procedure |
$1,455.06 |
$1,768 |
0.3× |
| EMG anal/urethral sphincter (51785) |
$660.05 |
$802 |
2.6× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$679.80 |
$826 |
5.1× |
| Endometrial Biopsy (58100) |
$449.36 |
$546 |
2.2× |
| Endoscopic us exam esoph (43237) |
$2,621.26 |
$3,185 |
1.3× |
| Endoscopy bowel pouch/biop (44386) |
$1,854.63 |
$2,253.50 |
1.9× |
| Endoscopy of bowel pouch (44385) |
$1,037.80 |
$1,261 |
1.1× |
| Endoscopy Upper Small Intestine (44360) |
$2,001.54 |
$2,432 |
1.0× |
| Endoven ther chem adhes 1st (36482) |
$5,063.92 |
$6,153 |
0.9× |
| Endovenous rf 1st vein (36475) |
$7,631.06 |
$9,272.25 |
2.3× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$3,286.24 |
$3,993 |
1.7× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$2,692.86 |
$3,272 |
1.4× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$5,860.58 |
$7,121 |
2.8× |
| Episiotomy or vaginal repair (59300) |
$6,560.96 |
$7,972 |
2.0× |
| Ercp Duct Stent Placement (43274) |
$6,012.84 |
$7,306 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,119.12 |
$5,005 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$4,779.98 |
$5,808 |
1.2× |
| Ercp lithotripsy calculi (43265) |
$5,413.69 |
$6,578 |
0.9× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,553.66 |
$5,533 |
1.1× |
| Ercp remove forgn body duct (43275) |
$4,752 |
$5,774 |
2.4× |
| Ercp sphincter pressure meas (43263) |
$4,319.10 |
$5,248 |
2.2× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,439.15 |
$7,824 |
1.0× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$5,068.86 |
$6,159 |
1.3× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,100.19 |
$4,982 |
1.0× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$4,817.84 |
$5,854 |
1.2× |
| Escharotomy initial incision (16035) |
$878.14 |
$1,067 |
2.1× |
| Esoph Scope W/Submucous Inj (43201) |
$1,482.22 |
$1,801 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,063.68 |
$2,507.50 |
2.2× |
| Esophagoscopy control bleed (43227) |
$2,203.17 |
$2,677 |
1.1× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$1,656.70 |
$2,013 |
0.8× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$1,961.21 |
$2,383 |
0.5× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$2,100.30 |
$2,552 |
1.1× |
| Esophagoscopy flexible guide wire dilation (43226) |
$1,727.48 |
$2,099 |
0.9× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$906.95 |
$1,102 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,252.20 |
$1,521.50 |
1.3× |
| Esophagoscopy Flexible Transoral Mucosal Resexn (43211) |
$2,994.90 |
$3,639 |
1.5× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,189.18 |
$2,660 |
1.1× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$2,605.62 |
$3,166 |
1.3× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$2,073.14 |
$2,519 |
1.0× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$2,306.87 |
$2,803 |
1.2× |
Esophagoscopy transoral stent placement (43212)
unusually low: confirm this is the full procedure |
$2,175.19 |
$2,643 |
0.3× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,483.87 |
$1,803 |
0.7× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,929.11 |
$2,344 |
1.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$1,973.55 |
$2,398 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$167.48 |
$203.50 |
1.2× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$4,027.76 |
$4,894 |
2.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,775.98 |
$3,373 |
1.6× |
| Exc abdl tum deep 5 cm/> (22901) |
$4,383.30 |
$5,326 |
1.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,764.87 |
$3,359.50 |
1.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$523.84 |
$636.50 |
0.7× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$487.22 |
$592 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$799.96 |
$972 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$918.46 |
$1,116 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$733.70 |
$891.50 |
1.0× |
| Exc back les sc < 3 cm (21930) |
$3,407.22 |
$4,140 |
2.0× |
| Exc back tum deep < 5 cm (21932) |
$4,365.19 |
$5,304 |
1.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$853.46 |
$1,037 |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$843.99 |
$1,025.50 |
0.5× |
| Exc forearm les sc 3 cm/> (25071) |
$2,929.06 |
$3,559 |
1.7× |
| Exc ganglion wrist recurrent (25112) |
$1,037.80 |
$1,261 |
0.6× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,004.42 |
$2,435.50 |
0.6× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$928.34 |
$1,128 |
0.3× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,150.50 |
$2,613 |
1.3× |
| Exc neck tum deep < 5 cm (21556) |
$2,862.40 |
$3,478 |
1.0× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$3,849.17 |
$4,677 |
1.9× |
| Exc rect tum transanal part (45171) |
$4,159.44 |
$5,054 |
1.5× |
| Exc skin abd (15830) |
$8,250.58 |
$10,025 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$662.10 |
$804.50 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$606.55 |
$737 |
1.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,029.98 |
$1,251.50 |
1.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,365.36 |
$1,659 |
0.8× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,524.60 |
$1,852.50 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,301.98 |
$1,582 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,463.30 |
$1,778 |
0.9× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,779.74 |
$2,162.50 |
0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,609.38 |
$1,955.50 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,773.98 |
$2,155.50 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,756.17 |
$4,564 |
1.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$4,968.45 |
$6,037 |
1.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,117.64 |
$1,358 |
0.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$3,787.45 |
$4,602 |
2.2× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$3,004.77 |
$3,651 |
1.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,300.23 |
$4,010 |
1.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,926.94 |
$4,771.50 |
1.3× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$2,811.78 |
$3,416.50 |
0.9× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$3,458.25 |
$4,202 |
2.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,597.33 |
$4,371 |
1.2× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$5,132.23 |
$6,236 |
1.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,935.23 |
$3,566.50 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,594.51 |
$3,152.50 |
1.5× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$3,583.34 |
$4,354 |
2.1× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$4,473.83 |
$5,436 |
1.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$5,222.76 |
$6,346 |
1.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,397.81 |
$2,913.50 |
1.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,691.21 |
$3,270 |
0.9× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$4,626.08 |
$5,621 |
1.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$4,132.28 |
$5,021 |
1.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,171.90 |
$2,639 |
0.7× |
| Exc/fulguration urethral caruncle (53265) |
$1,258.37 |
$1,529 |
0.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$6,303.15 |
$7,658.75 |
1.7× |
| Exchange nephrostomy cath (50435) |
$4,652.83 |
$5,653.50 |
2.2× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$3,137.28 |
$3,812 |
1.6× |
| Excise excessive skin arm (15836) |
$2,057.50 |
$2,500 |
0.7× |
| Excise pharynx lesion (42808) |
$798.31 |
$970 |
0.2× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$6,239.16 |
$7,581 |
2.5× |
| Excision Breast Lesion (19125) |
$3,270.60 |
$3,974 |
0.8× |
| Excision Chalazion Single (67800) |
$905.92 |
$1,100.75 |
2.8× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$2,558.71 |
$3,109 |
0.8× |
| Excision external ear partial simple repair (69110) |
$2,214.69 |
$2,691 |
0.7× |
| Excision first and/or cervical rib for outlet compression syndrome or other cause; (21615) |
$6,973.28 |
$8,473 |
0.9× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$976.90 |
$1,187 |
0.3× |
| Excision hydrocele bilateral (55041) |
$2,486.28 |
$3,021 |
0.7× |
| Excision lesion meniscus/capsule knee (27347) |
$3,355.37 |
$4,077 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$607.79 |
$738.50 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$905.30 |
$1,100 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$983.07 |
$1,194.50 |
2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,341.49 |
$1,630 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,243.96 |
$1,511.50 |
1.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$798.72 |
$970.50 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$943.16 |
$1,146 |
1.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,074.02 |
$1,305 |
1.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,264.13 |
$1,536 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,556.70 |
$1,891.50 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$465.82 |
$566 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$911.88 |
$1,108 |
1.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,016 |
$1,234.50 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,187.18 |
$1,442.50 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,335.32 |
$1,622.50 |
0.8× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,292.06 |
$2,785 |
0.8× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$666.63 |
$810 |
0.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$744.82 |
$905 |
1.0× |
| Excision of chalazion; multiple, same lid (67801) |
$768.68 |
$934 |
0.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,187.53 |
$2,658 |
1.3× |
| Excision of hydrocele unilateral (55040) |
$2,719.19 |
$3,304 |
0.7× |
| Excision of infected graft; extremity Facility (35903) |
$3,654.12 |
$4,440 |
1.1× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,785.91 |
$2,170 |
1.7× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$2,474.76 |
$3,007 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$796.26 |
$967.50 |
0.5× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$1,698.67 |
$2,064 |
0.7× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$1,944.75 |
$2,363 |
0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,836.11 |
$2,231 |
0.6× |
| Excision of single external papilla or tag, anus (46220) |
$2,199.06 |
$2,672 |
1.8× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,124.63 |
$1,366.50 |
0.9× |
| Excision olecranon bursa (24105) |
$2,424.56 |
$2,946 |
0.7× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$3,420.39 |
$4,156 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$2,474.76 |
$3,007 |
0.7× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) |
$5,011.25 |
$6,089 |
0.7× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,658.65 |
$4,445.50 |
1.2× |
| Excision prepatellar bursa (27340) |
$2,516.73 |
$3,058 |
0.7× |
| Excision Synovial Cyst Popliteal Space (27345) |
$2,901.48 |
$3,525.50 |
0.9× |
| Excision tendon finger flexor/extensor each (26180) |
$2,619.61 |
$3,183 |
1.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,089.54 |
$3,754 |
1.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,321.63 |
$4,036 |
1.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,264.08 |
$2,751 |
1.3× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$2,668.99 |
$3,243 |
1.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$3,617.91 |
$4,396 |
2.1× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$2,304.40 |
$2,800 |
0.8× |
| Excision, nasal polyp(s), simple Facility (30110) |
$728.36 |
$885 |
0.5× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$2,399.87 |
$2,916 |
0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,895.31 |
$3,518 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,825.41 |
$2,218 |
1.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,578.51 |
$1,918 |
0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,724.13 |
$3,310 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,081.31 |
$3,744 |
1.0× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$555.52 |
$675 |
0.2× |
| Excision; trochanteric bursa or calcification (27062) |
$3,045.92 |
$3,701 |
0.9× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$4,424.45 |
$5,376 |
0.8× |
| Explo/Drain Breast Abscess (19020) |
$3,841.76 |
$4,668 |
2.3× |
| Exploration of knee joint (27310) |
$4,869.69 |
$5,917 |
1.4× |
| Exploration penetrating wound spx chest (20101) |
$2,543.07 |
$3,090 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$2,578.87 |
$3,133.50 |
1.5× |
| Explore limb vessels (35860) |
$4,217.88 |
$5,125 |
1.3× |
| Explore/Treat Elbow Joint (24101) |
$3,381.71 |
$4,109 |
1.0× |
| Explore/Treat Knee Joint (27331) |
$3,187.48 |
$3,873 |
0.9× |
| External cephalic version (59412) |
$1,646.82 |
$2,001 |
0.5× |
| Fasciectomy Palm Only (26121) |
$4,017.89 |
$4,882 |
1.2× |
| Fasciotomy foot and/or toe (28008) |
$1,835.70 |
$2,230.50 |
0.5× |
| Fasciotomy Iliotibial Open (27305) |
$3,082.96 |
$3,746 |
0.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$6,108.31 |
$7,422 |
1.8× |
| Fetal non-stress test (59025) |
$321.38 |
$390.50 |
1.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$4,855.70 |
$5,900 |
6.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$923 |
$1,121.50 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$494.62 |
$601 |
1.2× |
| Fit/Insert Intravag Support Device (57160) |
$316.44 |
$384.50 |
1.5× |
| Fix Entropion,Extensv Lid Repair (67924) |
$6,640.58 |
$8,068.75 |
2.7× |
| Fixation of shoulder (23700) |
$1,306.10 |
$1,587 |
0.8× |
| Fluid pressure muscle (20950) |
$506.14 |
$615 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$332.90 |
$404.50 |
1.4× |
| Follow-up surgery of eye (66250) |
$4,954.87 |
$6,020.50 |
2.0× |
| Forehead flap w/vasc pedicle (15731) |
$4,879.16 |
$5,928.50 |
1.3× |
| Foreskin manipulation (54450) |
$284.35 |
$345.50 |
1.1× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$2,814.66 |
$3,420 |
1.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,432.79 |
$2,956 |
1.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,065.68 |
$3,725 |
1.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,079.72 |
$2,527 |
1.0× |
| Fusion of foot bones (28740) |
$4,826.90 |
$5,865 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$169.12 |
$205.50 |
0.8× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$5,150.33 |
$6,258 |
2.6× |
| Guide Cathet Fluid Drainage (10030) |
$1,578.93 |
$1,918.50 |
2.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$4,162.73 |
$5,058 |
1.2× |
| Harvest of skin for skin cell suspension autograft; first 25 sq cm or less (15011) |
$955.50 |
$1,161 |
0.4× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$1,597.44 |
$1,941 |
0.5× |
| Hemorrhoidectomy (46255) |
$3,696.50 |
$4,491.50 |
1.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,790.27 |
$5,820.50 |
1.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$6,749.42 |
$8,201 |
2.4× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$2,405.63 |
$2,923 |
0.8× |
| Hysteroscopy biopsy (58558) |
$5,970.46 |
$7,254.50 |
1.8× |
| Hysteroscopy w endometrial ablation (58563) |
$6,038.35 |
$7,337 |
1.2× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$1,955.45 |
$2,376 |
0.6× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$2,400.69 |
$2,917 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$977.31 |
$1,187.50 |
4.0× |
| I&d abscess simple (10060) |
$502.86 |
$611 |
2.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,718.31 |
$4,518 |
1.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,642.24 |
$3,210.50 |
0.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,746 |
$2,121.50 |
0.8× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$4,806.32 |
$5,840 |
1.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$4,580.82 |
$5,566 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$650.17 |
$790 |
0.9× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,126.68 |
$1,369 |
0.7× |
| I&d vulva/perineal abscess (56405) |
$847.28 |
$1,029.50 |
2.7× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,252.61 |
$1,522 |
0.6× |
| Ileoscopy thru stoma (44380) |
$951.39 |
$1,156 |
1.0× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$1,166.19 |
$1,417 |
1.2× |
| Image Cath Fluid Colxn Visc (49405) |
$3,282.94 |
$3,989 |
1.9× |
| Image Cath Fluid Peri/Retro (49406) |
$3,806.79 |
$4,625.50 |
2.2× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$5,946.18 |
$7,225 |
3.5× |
| Implant neuroelectrodes (63650) |
$5,279.96 |
$6,415.50 |
0.8× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$7,824.26 |
$9,507 |
0.9× |
| Incise external hemorrhoid (46083) |
$1,163.31 |
$1,413.50 |
4.5× |
| Incise finger tendon sheath (26055) |
$3,198.18 |
$3,886 |
1.9× |
| Incise wrist/forearm tendon (25290) |
$3,558.65 |
$4,324 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,162.08 |
$1,412 |
2.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,067.74 |
$3,727.50 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,235.74 |
$1,501.50 |
1.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,683.39 |
$3,260.50 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$635.36 |
$772 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$915.18 |
$1,112 |
4.4× |
| Incision and drainage perianal abscess superficial (46050) |
$1,245.20 |
$1,513 |
1.3× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$2,142.68 |
$2,603.50 |
0.7× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) |
$6,950.24 |
$8,445 |
0.9× |
| Incision bone cortex foot (28005) |
$3,899.37 |
$4,738 |
1.2× |
| Incision extensor tendon sheath wrist (25000) |
$2,331.56 |
$2,833 |
1.4× |
| Incision of eardrum (69420) |
$626.30 |
$761 |
2.6× |
| Incision of eyelid fold (67715) |
$838.84 |
$1,019.25 |
0.3× |
| Incision of labial frenum (frenotomy) (40806) |
$535.77 |
$651 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$594.21 |
$722 |
0.4× |
| Incision of lymph channels (38308) |
$3,849.99 |
$4,678 |
1.0× |
| Incision of rectal abscess (46040) |
$3,420.80 |
$4,156.50 |
2.8× |
| Incision&drainage bursa foot (28001) |
$1,203.23 |
$1,462 |
0.7× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$7,049.82 |
$8,566 |
2.1× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$855.92 |
$1,040 |
2.6× |
| Incisional biopsy skin single lesion (11106) |
$496.26 |
$603 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$244.02 |
$296.50 |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,279.09 |
$2,769.25 |
2.5× |
| Inj tendon sheath/ligament (20550) |
$463.35 |
$563 |
1.5× |
| Inj therapeutic carpal tunnel (20526) |
$439.89 |
$534.50 |
1.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,840.84 |
$2,236.75 |
2.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$832.05 |
$1,011 |
0.9× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$466.64 |
$567 |
1.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$3,170.20 |
$3,852 |
3.5× |
| Inject Intravitreal Pharmcologic (67028) |
$669.92 |
$814 |
2.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,920.88 |
$2,334 |
2.1× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,247.26 |
$1,515.50 |
1.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$2,087.54 |
$2,536.50 |
2.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,283.47 |
$1,559.50 |
1.8× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$799.54 |
$971.50 |
0.9× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,935.28 |
$2,351.50 |
2.1× |
| Inject Sinus Tract Theraputic (20500) |
$2,032.81 |
$2,470 |
1.3× |
| Inject Tendon Origin/Insert (20551) |
$458.41 |
$557 |
1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,992.48 |
$2,421 |
2.7× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,903.60 |
$2,313 |
2.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,344.58 |
$1,633.75 |
1.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$830.41 |
$1,009 |
1.1× |
| Injection aa&/strd pudendal nerve (64430) |
$1,351.78 |
$1,642.50 |
1.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$927.11 |
$1,126.50 |
2.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$795.02 |
$966 |
2.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,186.76 |
$1,442 |
1.3× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,444.16 |
$1,754.75 |
2.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,221.54 |
$1,484.25 |
1.7× |
| Injection for identification of sentinel node (38792) |
$862.92 |
$1,048.50 |
2.1× |
| Injection into skin lesions (11900) |
$220.16 |
$267.50 |
1.1× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$878.96 |
$1,068 |
1.4× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$570.96 |
$693.75 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$455.32 |
$553.25 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$554.50 |
$673.75 |
1.8× |
| Injection(s) spider veins (36468) |
$461.70 |
$561 |
1.1× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,316.80 |
$1,600 |
1.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$265.83 |
$323 |
1.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$2,310.98 |
$2,808 |
2.5× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$2,386.70 |
$2,900 |
2.6× |
| Ins cath ren art 1st bilat (36252) |
$7,494.24 |
$9,106 |
2.3× |
| Ins cath ren art 1st unilat (36251) |
$5,384.07 |
$6,542 |
1.7× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,303.36 |
$7,659 |
1.1× |
| Ins endovas vena cava filtr (37191) |
$17,914.24 |
$21,767 |
3.1× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$8,027.54 |
$9,754 |
0.7× |
| Ins tun ip cath for dial opn (49421) |
$2,413.86 |
$2,933 |
0.7× |
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure |
$5,839.18 |
$7,095 |
0.2× |
| Insert and remove bone pin (20650) |
$7,616.04 |
$9,254 |
2.3× |
| Insert Bladder Cath Complex (51703) |
$532.07 |
$646.50 |
4.0× |
| Insert cath pleura w/ image (32557) |
$4,362.10 |
$5,300.25 |
2.7× |
| Insert cath pleura w/o image (32556) |
$1,595.38 |
$1,938.50 |
0.8× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$2,860.75 |
$3,476 |
2.3× |
| Insert cervical dilator (59200) |
$252.25 |
$306.50 |
0.8× |
| Insert Drug Implant Device (11981) |
$513.35 |
$623.75 |
3.7× |
| Insert gastrostomy tube percutaneous (49440) |
$2,402.34 |
$2,919 |
1.2× |
| Insert heart pm atrial (33206) |
$18,473.88 |
$22,447 |
1.7× |
Insert heart pm ventricular (33207)
unusually low: confirm this is the full procedure |
$5,002.19 |
$6,078 |
0.5× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$4,452.43 |
$5,410 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$1,996.60 |
$2,426 |
0.6× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$4,043.40 |
$4,913 |
0.4× |
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure |
$4,727.31 |
$5,744 |
0.2× |
| Insert pulse gen sngl lead (33212) |
$4,638.43 |
$5,636 |
0.5× |
| Insert subq implantable defib electrode (33271) |
$4,280.42 |
$5,201 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$389.69 |
$473.50 |
2.8× |
| Insert tun ip cath perc (49418) |
$8,921.32 |
$10,840 |
2.4× |
| Insert tunneled cv cath (36561) |
$5,881.98 |
$7,147 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$260.07 |
$316 |
1.9× |
Insert/ replace infusn pump,programmable (62362)
unusually low: confirm this is the full procedure |
$7,806.98 |
$9,486 |
0.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$11,111.52 |
$13,501.25 |
3.0× |
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867)
unusually low: confirm this is the full procedure |
$8,691.70 |
$10,561 |
0.5× |
| Insertion picc w/rs&i < 5 yr (36572) |
$2,333.20 |
$2,835 |
3.6× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$1,501.15 |
$1,824 |
0.2× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
unusually low: confirm this is the full procedure |
$3,673.87 |
$4,464 |
0.4× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low: confirm this is the full procedure |
$3,505.16 |
$4,259 |
0.4× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$5,819.43 |
$7,071 |
0.5× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
likely a partial charge, not the full procedure |
$5,179.14 |
$6,293 |
0.2× |
| Insj picc rs&i 5 yr+ (36573) |
$2,304.82 |
$2,800.50 |
1.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$6,221.88 |
$7,560 |
1.9× |
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
unusually low: confirm this is the full procedure |
$2,592.45 |
$3,150 |
0.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,973.39 |
$6,043 |
1.5× |
Insj/rplcmt defib w/lead(s) (33249)
likely a partial charge, not the full procedure |
$7,713.98 |
$9,373 |
0.2× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$2,660.76 |
$3,233 |
0.3× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge, not the full procedure |
$5,216.17 |
$6,338 |
0.2× |
Insrt pulse gen w/mult leads (33231)
likely a partial charge, not the full procedure |
$5,143.75 |
$6,250 |
0.2× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$3,945.05 |
$4,793.50 |
0.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,759.93 |
$3,353.50 |
1.9× |
| Intro cath dialysis circuit (36901) |
$4,786.57 |
$5,816 |
2.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$24,379.73 |
$29,623 |
2.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$14,674.09 |
$17,830 |
2.5× |
| Intro Gastrointestinal Tube (44500) |
$1,705.26 |
$2,072 |
1.8× |
| Intubation endotracheal emergency procedure (31500) |
$829.58 |
$1,008 |
3.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$804.48 |
$977.50 |
3.1× |
| Knee Arthroscopy/Surgery (29879) |
$4,395.64 |
$5,341 |
1.3× |
| Labyrinthotomy Transcanal (69801) |
$1,504.44 |
$1,828 |
0.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$19,267.46 |
$23,411.25 |
2.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$17,197.41 |
$20,896 |
2.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$14,968.72 |
$18,188 |
2.0× |
| Lap ing hernia repair init (49650) |
$3,551.24 |
$4,315 |
0.6× |
Lap insert tunnel ip cath (49324)
unusually low: confirm this is the full procedure |
$2,276.42 |
$2,766 |
0.4× |
| Lap paraesoph her rpr w/mesh (43282) |
$11,178.81 |
$13,583 |
1.0× |
| Lap paraesophag hern repair (43281) |
$9,947.60 |
$12,087 |
0.9× |
Lap revision perm ip cath (49325)
unusually low: confirm this is the full procedure |
$2,359.54 |
$2,867 |
0.4× |
| Laparoscopy appendectomy (44970) |
$7,689.29 |
$9,343 |
1.2× |
| Laparoscopy biopsy (49321) |
$7,391.78 |
$8,981.50 |
1.2× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$6,546.96 |
$7,955 |
0.6× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,107.74 |
$6,206.25 |
0.8× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$7,837.43 |
$9,523 |
1.3× |
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284)
unusually low: confirm this is the full procedure |
$4,254.09 |
$5,169 |
0.4× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure |
$5,234.28 |
$6,360 |
0.5× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)
unusually low: confirm this is the full procedure |
$5,038.41 |
$6,122 |
0.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$9,062.05 |
$11,011 |
1.5× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$4,059.86 |
$4,933 |
0.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$4,632.46 |
$5,628.75 |
0.7× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,079.50 |
$7,387 |
1.0× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$3,798.14 |
$4,615 |
0.6× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low: confirm this is the full procedure |
$1,905.66 |
$2,315.50 |
0.3× |
| Laryngoscopy diagnostic (31505) |
$252.66 |
$307 |
1.2× |
| Laryngoscopy flexible diagnostic (31575) |
$580.22 |
$705 |
2.8× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$1,246.02 |
$1,514 |
3.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,253.26 |
$5,168 |
2.3× |
| Laser surgery of eye (65855) |
$1,981.78 |
$2,408 |
3.5× |
| Late closure of wound (13160) |
$2,891.20 |
$3,513 |
0.8× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$1,572.96 |
$1,911.25 |
0.5× |
| Ligate leg veins radical (37760) |
$6,920.61 |
$8,409 |
2.1× |
| Ligate/strip long leg vein (37722) |
$2,640.18 |
$3,208 |
0.8× |
| Ligate/strip short leg vein (37718) |
$2,024.58 |
$2,460 |
0.6× |
| Ligation of a-v fistula (37607) |
$4,860.64 |
$5,906 |
1.5× |
| Ligation of hemorrhoid(s) (46221) |
$2,726.60 |
$3,313 |
2.8× |
| Ligation or biopsy temporal artery (37609) |
$2,125.81 |
$2,583 |
1.2× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$5,744.54 |
$6,980 |
1.8× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,166.96 |
$2,633 |
0.6× |
| Lithotripsy (50590) |
$12,219.90 |
$14,848 |
3.4× |
| Liver Biopsy (47000) |
$1,192.94 |
$1,449.50 |
0.7× |
| Lyse chest fibrin init day (32561) |
$761.28 |
$925 |
1.2× |
| Lyse Chest Fibrin Subq Day (32562) |
$672.39 |
$817 |
1.0× |
| Manipulat Palm Cord Post Inj (26341) |
$795.02 |
$966 |
3.1× |
| Manipulation knee joint under general anesthesia (27570) |
$2,573.11 |
$3,126.50 |
1.6× |
| Manipulation Tmj Therapeutic Require Anesthesia (21073) |
$1,864.92 |
$2,266 |
1.2× |
| Mast mod rad (19307) |
$5,754.42 |
$6,992 |
0.8× |
| Mastectomy for gynecomastia (19300) |
$2,861.57 |
$3,477 |
0.7× |
| Mastectomy partial (19301) |
$3,916.45 |
$4,758.75 |
1.0× |
| Mastectomy simple complete (19303) |
$9,177.48 |
$11,151.25 |
1.3× |
Mastopexy (19316)
likely a partial charge, not the full procedure |
$1,646 |
$2,000 |
0.2× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,177.66 |
$2,646 |
1.3× |
| Mech remov tunneled cv cath (36595) |
$3,603.92 |
$4,379 |
1.1× |
| Mohs 1 stage h/n/hf/g (17311) |
$1,970.26 |
$2,394 |
2.6× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$1,797.43 |
$2,184 |
2.4× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$3,082.14 |
$3,745 |
0.8× |
| Myelography Lumbar Injection (62305) |
$2,197.41 |
$2,670 |
2.7× |
| Myelography Lumbar Injection (62304) |
$1,632.83 |
$1,984 |
2.0× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,746.41 |
$2,122 |
2.2× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,711.84 |
$2,080 |
2.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$813.94 |
$989 |
1.1× |
| N Block Inj, Plantar Digit (64455) |
$795.02 |
$966 |
2.5× |
| Nasal endoscopy dx (31231) |
$847.28 |
$1,029.50 |
4.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$996.65 |
$1,211 |
0.5× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,253.02 |
$1,522.50 |
0.7× |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure |
$828.76 |
$1,007 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$342.37 |
$416 |
0.7× |
| Needle biopsy of pancreas (48102) |
$1,375.23 |
$1,671 |
0.8× |
| Nerve repair w/allograft (64910) |
$4,841.71 |
$5,883 |
0.5× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$2,250.90 |
$2,735 |
1.1× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,947.37 |
$3,581.25 |
1.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,786.68 |
$3,386 |
1.4× |
| Nipple exploration (19110) |
$1,056.73 |
$1,284 |
0.3× |
| Njx aa&/strd sciatic nerve (64445) |
$1,917.18 |
$2,329.50 |
2.6× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,080.60 |
$1,313 |
1.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$348.54 |
$423.50 |
1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,311.04 |
$1,593 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,528.15 |
$5,502 |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,034.51 |
$1,257 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,215.16 |
$1,476.50 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,003.24 |
$1,219 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$2,229.51 |
$2,709 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,173.60 |
$1,426 |
1.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,436.96 |
$1,746 |
1.6× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,720.84 |
$3,306 |
1.3× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,900.31 |
$2,309 |
0.9× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$3,502.28 |
$4,255.50 |
4.9× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,422.76 |
$1,728.75 |
2.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$743.99 |
$904 |
1.8× |
| Obstructive material removal from gi tube (49460) |
$633.71 |
$770 |
0.7× |
| Occipital Nerve Block (64405) |
$716.62 |
$870.75 |
2.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,252.55 |
$2,737 |
0.6× |
| Open bone biopsy (20250) |
$2,335.67 |
$2,838 |
0.7× |
| Open thrombect av fistula (36831) |
$5,770.05 |
$7,011 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$4,914.75 |
$5,971.75 |
0.7× |
| Open treatment calcaneal fracture (28415) |
$7,548.56 |
$9,172 |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$7,484.36 |
$9,094 |
0.6× |
| Open treatment greater trochanteric fracture (27248) |
$4,946.23 |
$6,010 |
0.7× |
| Open Treatment Medial Malleolus Fracture (27766) |
$4,047.51 |
$4,918 |
0.5× |
| Open treatment metatarsal fracture each (28485) |
$3,810.49 |
$4,630 |
0.5× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$4,367.66 |
$5,307 |
0.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$4,793.98 |
$5,825 |
0.6× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
unusually low: confirm this is the full procedure |
$6,379.90 |
$7,752 |
0.5× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$6,387.30 |
$7,761 |
0.9× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$4,565.18 |
$5,547 |
0.6× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
$6,224.35 |
$7,563 |
1.8× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579)
likely a partial charge, not the full procedure |
$3,864.81 |
$4,696 |
0.3× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$4,473 |
$5,435 |
0.6× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$4,535.55 |
$5,511 |
0.6× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680)
unusually low: confirm this is the full procedure |
$5,423.57 |
$6,590 |
0.4× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
unusually low: confirm this is the full procedure |
$5,947 |
$7,226 |
0.4× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$6,592.23 |
$8,010 |
0.9× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$4,180.02 |
$5,079 |
0.6× |
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure |
$3,687.04 |
$4,480 |
0.5× |
| Open treatment posterior malleolus fracture (27769) |
$5,583.23 |
$6,784 |
0.7× |
Open Treatment Proximal Humeral Fracture (23615)
unusually low: confirm this is the full procedure |
$5,862.23 |
$7,123 |
0.4× |
| Open tx acute shoulder dislocation (23660) |
$3,900.20 |
$4,739 |
0.5× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$2,112.64 |
$2,567 |
0.6× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$3,820.37 |
$4,642 |
1.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,564.60 |
$9,191.50 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,363.24 |
$2,871.50 |
0.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$5,955.44 |
$7,236.25 |
0.8× |
Open tx humeral supracondylar fracture w/o xtn (24545)
unusually low: confirm this is the full procedure |
$6,153.57 |
$7,477 |
0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$4,405.11 |
$5,352.50 |
1.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,988.26 |
$4,846 |
1.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$5,877.04 |
$7,141 |
0.8× |
| Open tx ulnar fx proximal end (24685) |
$4,367.66 |
$5,307 |
0.6× |
| Open/Perq Place Stent Same (37238) |
$22,701.63 |
$27,584 |
1.9× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$27,259.82 |
$33,122.50 |
2.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$5,511.63 |
$6,697 |
0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$8,743.35 |
$10,623.75 |
1.2× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$4,933.88 |
$5,995 |
0.7× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$8,106.96 |
$9,850.50 |
1.1× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
unusually low: confirm this is the full procedure |
$4,742.54 |
$5,762.50 |
0.4× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$7,831.67 |
$9,516 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,081.10 |
$3,743.75 |
0.8× |
| Ostectomy calcaneus (28118) |
$3,320.80 |
$4,035 |
1.0× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$3,428.62 |
$4,166 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,953.48 |
$4,803.75 |
1.2× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$4,388.24 |
$5,332 |
0.6× |
| P-mastectomy w/ln removal (19302) |
$4,690.28 |
$5,699 |
0.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$3,784.15 |
$4,598 |
1.1× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,450.84 |
$4,193 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,273.90 |
$3,978 |
2.0× |
| Partial removal of thyroid (60220) |
$4,862.28 |
$5,908 |
0.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,478.88 |
$3,012 |
0.7× |
| Patellectomy or hemipatellectomy (27350) |
$4,632.67 |
$5,629 |
0.6× |
| Pelvic examination under anesthesia (other than local) (57410) |
$622.19 |
$756 |
0.2× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$6,319.82 |
$7,679 |
0.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,467.82 |
$1,783.50 |
2.0× |
Percut Mech Thrombectomy, Venous (37187)
likely a partial charge, not the full procedure |
$2,987.49 |
$3,630 |
0.3× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,268.13 |
$3,971 |
1.0× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$6,007.90 |
$7,300 |
0.8× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$3,252.50 |
$3,952 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,764.51 |
$2,144 |
1.1× |
| Peritoneal Lavage (49084) |
$399.16 |
$485 |
0.4× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$7,939.48 |
$9,647 |
0.4× |
Perq av fistula creation uxtr single access (36836)
likely a partial charge, not the full procedure |
$2,941.40 |
$3,574 |
0.2× |
| Perq dev breast 1st mr guide (19287) |
$2,868.98 |
$3,486 |
3.9× |
| Perq dev breast 1st strtctc (19283) |
$1,357.95 |
$1,650 |
1.9× |
| Perq dev breast 1st us imag (19285) |
$1,594.56 |
$1,937.50 |
2.2× |
| Perq device breast 1st imag (19281) |
$1,480.58 |
$1,799 |
0.9× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$7,008.67 |
$8,516 |
1.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,100.76 |
$1,337.50 |
4.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,610.20 |
$1,956.50 |
2.2× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,463.13 |
$5,423 |
1.3× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$30,427.96 |
$36,972 |
1.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$27,322.78 |
$33,199 |
2.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$14,218.97 |
$17,277 |
2.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$15,522.20 |
$18,860.50 |
2.1× |
| Perq Vertebral Augmentation (22513) |
$15,581.86 |
$18,933 |
2.1× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$10,257.05 |
$12,463 |
3.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$10,915.45 |
$13,263 |
3.2× |
| Phleb veins - extrem 20+ (37766) |
$3,326.98 |
$4,042.50 |
1.0× |
| Picc line placement (36569) |
$1,750.11 |
$2,126.50 |
1.1× |
| Place Cath Subclavian Art (36225) |
$15,376.11 |
$18,683 |
4.7× |
| Place Cath Thoracic Aorta (36221) |
$6,495.12 |
$7,892 |
2.0× |
| Place Cath Vertebral Art (36226) |
$16,911.83 |
$20,549 |
2.9× |
| Place duod/jej tube perc (49441) |
$3,626.96 |
$4,407 |
1.8× |
| Placement needle head/neck radioelement applicat (41019) |
$5,561.83 |
$6,758 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$341.54 |
$415 |
0.7× |
| Placement of seton (46020) |
$1,729.12 |
$2,101 |
0.6× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$5,479.53 |
$6,658 |
0.8× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$14,283.99 |
$17,356 |
2.3× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$17,002.36 |
$20,659 |
2.7× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$3,180.07 |
$3,864 |
2.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$9,464.91 |
$11,500.50 |
4.4× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$4,513.33 |
$5,484 |
1.2× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$20,928.48 |
$25,429.50 |
5.8× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$15,983.07 |
$19,420.50 |
4.4× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$12,107.36 |
$14,711.25 |
3.3× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$3,414.63 |
$4,149 |
0.7× |
Preparation skin cell ssp agrft 1st 25 sq cm/< (15013)
likely a partial charge, not the full procedure |
$835.34 |
$1,015 |
0.1× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$3,665.44 |
$4,453.75 |
0.2× |
| Probe nasolacrimal duct (68810) |
$1,129.16 |
$1,372 |
3.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$965.38 |
$1,173 |
1.0× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$1,518.02 |
$1,844.50 |
1.2× |
| Proctosigmoid w/biopsy (45305) |
$1,487.98 |
$1,808 |
1.2× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$1,647.65 |
$2,002 |
0.6× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$2,031.16 |
$2,468 |
3.6× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,292.93 |
$1,571 |
1.8× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$21,780.70 |
$26,465 |
3.3× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$17,424.56 |
$21,172 |
2.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$11,559.86 |
$14,046 |
3.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$11,363.98 |
$13,808 |
3.1× |
| Prq skel fixj metar fx w/manj (28476) |
$2,532.37 |
$3,077 |
0.7× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$3,203.94 |
$3,893 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$407.38 |
$495 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$507.38 |
$616.50 |
0.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$836.38 |
$1,016.25 |
2.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$250.19 |
$304 |
0.3× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,199.11 |
$1,457 |
1.6× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$4,043.40 |
$4,913 |
1.2× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$9,242.29 |
$11,230 |
3.1× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$5,610.39 |
$6,817 |
3.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater Facility (22905) |
$7,025.12 |
$8,536 |
2.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Facility (21016) |
$6,154.39 |
$7,478 |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$2,980.91 |
$3,622 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,443.02 |
$4,183.50 |
1.7× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$2,952.10 |
$3,587 |
0.9× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$2,071.49 |
$2,517 |
2.2× |
| Realignment extensor tendon hand each tendon (26437) |
$3,648.36 |
$4,433 |
1.1× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$4,945.41 |
$6,009 |
0.7× |
Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500)
unusually low: confirm this is the full procedure |
$3,709.26 |
$4,507 |
0.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$5,160.21 |
$6,270 |
0.7× |
| Relieve inner eye pressure (65820) |
$5,925.60 |
$7,200 |
1.4× |
| Relocation of skin pocket for pacemaker (33222) |
$4,855.70 |
$5,900 |
2.3× |
| Rem Endovas Vena Cava Filter (37193) |
$7,573.25 |
$9,202 |
2.3× |
| Removal Anal Seton Other Marker (46030) |
$787.61 |
$957 |
0.6× |
| Removal biliary drg cath (47537) |
$1,520.90 |
$1,848 |
1.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,742.64 |
$3,332.50 |
0.9× |
| Removal Foreign Body Foot Complicated (28193) |
$2,474.35 |
$3,006.50 |
1.5× |
| Removal foreign body foot deep (28192) |
$2,178.48 |
$2,647 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$1,313.50 |
$1,596 |
1.8× |
| Removal foreign body intranasal (30300) |
$1,539.62 |
$1,870.75 |
11.2× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,358.78 |
$1,651 |
0.8× |
| Removal foreign body pharynx (42809) |
$843.16 |
$1,024.50 |
1.8× |
| Removal foreign body, intranasal; by lateral rhinotomy Facility (30320) |
$1,855.86 |
$2,255 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$113.98 |
$138.50 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$160.48 |
$195 |
2.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,916.30 |
$3,543.50 |
0.9× |
| Removal implant deep (20680) |
$4,370.13 |
$5,310 |
1.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,732.82 |
$2,105.50 |
1.0× |
| Removal Implantable Contraceptive Capsules (11976) |
$564.99 |
$686.50 |
0.8× |
| Removal Intact Mammary Implant (19328) |
$1,440.25 |
$1,750 |
0.4× |
| Removal of anal fissure (46200) |
$2,498.63 |
$3,036 |
0.9× |
| Removal of arm foreign body (24200) |
$1,358.36 |
$1,650.50 |
0.8× |
| Removal of bone for graft (20902) |
$14,913.58 |
$18,121 |
2.0× |
| Removal of breast capsule (19371) |
$2,571.88 |
$3,125 |
0.6× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$1,049.32 |
$1,275 |
1.0× |
| Removal of embedded foreign body, eyelid (67938) |
$961.26 |
$1,168 |
2.9× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$3,050.04 |
$3,706 |
2.5× |
| Removal of finger lesion (26210) |
$2,672.28 |
$3,247 |
1.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$295.46 |
$359 |
0.6× |
| Removal of heel spur (28119) |
$2,971.85 |
$3,611 |
0.9× |
| Removal of implant material (19330) |
$1,450.54 |
$1,762.50 |
0.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$795.84 |
$967 |
1.2× |
| Removal of iud (58301) |
$423.02 |
$514 |
1.3× |
| Removal of knee cartilage (27332) |
$4,306.76 |
$5,233 |
1.3× |
| Removal of nail bed (11750) |
$757.57 |
$920.50 |
1.8× |
| Removal of salivary stone (42330) |
$990.07 |
$1,203 |
0.3× |
| Removal of sesamoid bone (28315) |
$2,722.48 |
$3,308 |
0.8× |
| Removal Of Tendon Lesion (27630) |
$3,161.97 |
$3,842 |
0.9× |
| Removal of testis (54520) |
$2,378.47 |
$2,890 |
0.7× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,177.66 |
$2,646 |
0.7× |
| Removal of wrist bone (25210) |
$2,939.76 |
$3,572 |
0.9× |
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure |
$3,127.40 |
$3,800 |
0.4× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$3,031.52 |
$3,683.50 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$290.93 |
$353.50 |
1.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,197.46 |
$1,455 |
1.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$488.04 |
$593 |
0.2× |
| Removal, under anesthesia, of external fixation system (20694) |
$2,381.76 |
$2,894 |
1.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$294.22 |
$357.50 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$268.30 |
$326 |
0.9× |
| Remove anal fist subq (46270) |
$4,833.07 |
$5,872.50 |
1.7× |
| Remove drug implant device (11982) |
$420.96 |
$511.50 |
0.9× |
| Remove ext hem groups 2+ (46250) |
$2,542.25 |
$3,089 |
0.9× |
| Remove foreign body from eye (65235) |
$5,207.12 |
$6,327 |
2.2× |
| Remove intrvas foreign body (37197) |
$6,194.72 |
$7,527 |
1.9× |
| Remove Lower Leg Bone Lesion (27635) |
$3,879.62 |
$4,714 |
1.1× |
| Remove Pilonidal Cyst Exten (11771) |
$2,659.11 |
$3,231 |
0.9× |
Remove Prostate Regrowth (52630)
unusually low: confirm this is the full procedure |
$2,404.81 |
$2,922 |
0.4× |
| Remove pulse generator (33241) |
$3,703.50 |
$4,500 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$7,805.74 |
$9,484.50 |
10.8× |
| Remove spine eltrd perq aray (63661) |
$2,301.11 |
$2,796 |
1.1× |
| Remove Tendon Sheath Lesion (26160) |
$3,229.45 |
$3,924 |
1.9× |
| Remove ureter stent, percut (50384) |
$3,301.88 |
$4,012 |
1.5× |
| Remove&replace pm gen singl (33227) |
$7,950.18 |
$9,660 |
0.9× |
| Remove/Insert Drug Implant (11983) |
$638.65 |
$776 |
1.4× |
| Remv Ext Canal Foreign Body (69200) |
$459.24 |
$558 |
3.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$287.64 |
$349.50 |
2.1× |
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure |
$8,868.65 |
$10,776 |
0.4× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$8,288.43 |
$10,071 |
0.3× |
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure |
$8,366.62 |
$10,166 |
0.4× |
| Remv&replc pm gen dual lead (33228) |
$7,875.29 |
$9,569 |
0.7× |
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure |
$8,858.77 |
$10,764 |
0.4× |
| Renal Biopsy Percutaneous (50200) |
$2,515.09 |
$3,056 |
1.5× |
| Repair achilles tendon (27650) |
$4,431.03 |
$5,384 |
0.6× |
| Repair blood vessel direct hand finger (35207) |
$3,749.59 |
$4,556 |
1.2× |
| Repair blood vessel direct neck (35201) |
$5,246.62 |
$6,375 |
0.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$5,003.84 |
$6,080 |
1.5× |
| Repair blood vessel lesion (35190) |
$7,631.68 |
$9,273 |
1.3× |
| Repair blood vessel lesion (35236) |
$5,184.08 |
$6,299 |
0.9× |
| Repair brow defect (67900) |
$1,892.90 |
$2,300 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,422.56 |
$1,728.50 |
1.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,090.42 |
$2,540 |
2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,368.24 |
$1,662.50 |
3.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,133.22 |
$2,592 |
5.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,758.76 |
$2,137 |
4.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,871.50 |
$2,274 |
4.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,573.16 |
$1,911.50 |
2.1× |
| Repair Ectropion Extensive (67917) |
$4,117.06 |
$5,002.50 |
1.7× |
| Repair Entropion Suture (67921) |
$3,190.78 |
$3,877 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$5,707.92 |
$6,935.50 |
3.4× |
| Repair eyelid defect (67923) |
$5,006.31 |
$6,083 |
2.0× |
| Repair eyelid defect (67904) |
$7,144.67 |
$8,681.25 |
2.9× |
| Repair forearm tendon/muscle (25260) |
$4,553.24 |
$5,532.50 |
1.3× |
| Repair hand tendon (26410) |
$5,610.39 |
$6,817 |
3.4× |
| Repair inguinal hernia, sliding, any age (49525) |
$3,319.98 |
$4,034 |
0.9× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$4,141.34 |
$5,032 |
1.1× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,776.75 |
$4,589 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,809.40 |
$5,843.75 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,507.32 |
$1,831.50 |
3.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,248.49 |
$1,517 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,118.46 |
$1,359 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$2,532.78 |
$3,077.50 |
6.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,374.41 |
$1,670 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,134.50 |
$1,378.50 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,657.12 |
$2,013.50 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$757.57 |
$920.50 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$914.35 |
$1,111 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,602.38 |
$1,947 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,079.72 |
$2,527 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,540.66 |
$1,872 |
3.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$968.26 |
$1,176.50 |
2.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,167.02 |
$1,418 |
2.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,708.54 |
$2,076 |
2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,278.12 |
$1,553 |
3.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,796.20 |
$2,182.50 |
0.8× |
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure |
$1,473.99 |
$1,791 |
0.2× |
| Repair lead pace-defib dual (33220) |
$4,626.08 |
$5,621 |
1.2× |
| Repair lead pace-defib one (33218) |
$3,891.14 |
$4,728 |
1.0× |
| Repair Lower Leg Tendons (27675) |
$3,170.20 |
$3,852 |
0.9× |
| Repair of leg tendon each (27658) |
$2,631.54 |
$3,197.50 |
0.8× |
| Repair of nail bed (11760) |
$721.36 |
$876.50 |
0.9× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$6,395.53 |
$7,771 |
0.9× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$5,342.92 |
$6,492 |
0.7× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$5,656.48 |
$6,873 |
0.8× |
| Repair of shoulder (23420) |
$5,458.14 |
$6,632 |
0.7× |
Repair paravag defect vag (57285)
unusually low: confirm this is the full procedure |
$3,705.97 |
$4,503 |
0.5× |
| Repair radius & ulna (25415) |
$5,767.58 |
$7,008 |
0.8× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$4,728.14 |
$5,745 |
1.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$4,676.29 |
$5,682 |
0.7× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$4,141.34 |
$5,032 |
1.1× |
| Repair rotator cuff acute (23410) |
$5,445.79 |
$6,617 |
0.7× |
| Repair secondary achilles tendon w/wo graft (27654) |
$5,965.93 |
$7,249 |
0.8× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$2,533.61 |
$3,078.50 |
0.8× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$4,747.89 |
$5,769 |
0.6× |
| Repair tongue laceration (41252) |
$1,390.04 |
$1,689 |
5.7× |
| Repair Tongue Laceration (41250) |
$1,042.33 |
$1,266.50 |
2.3× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$7,725.50 |
$9,387 |
1.0× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure |
$3,446.72 |
$4,188 |
0.5× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202)
unusually low: confirm this is the full procedure |
$3,710.91 |
$4,509 |
0.5× |
| Repair/revise wrist joint (25320) |
$5,491.88 |
$6,673 |
0.7× |
| Repeat control of nosebleed (30906) |
$831.23 |
$1,010 |
3.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$904.48 |
$1,099 |
1.0× |
| Replace eye fluid (67025) |
$3,677.99 |
$4,469 |
1.5× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$648.52 |
$788 |
0.7× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,357.13 |
$1,649 |
1.4× |
| Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) |
$10,419.18 |
$12,660 |
6.3× |
| Reposition cv cath w/fluoro (36597) |
$3,989.08 |
$4,847 |
2.5× |
| Reposition gastric feeding tube thru duodenum (43761) |
$990.07 |
$1,203 |
3.8× |
| Revise external ear (69300) |
$2,464.88 |
$2,995 |
0.7× |
| Revise knuckle joint (26530) |
$3,811.31 |
$4,631 |
0.5× |
Revise knuckle with implant (26531)
unusually low: confirm this is the full procedure |
$3,552.89 |
$4,317 |
0.5× |
| Revise Lower Leg Tendon (27691) |
$6,059.75 |
$7,363 |
0.8× |
| Revise spine eltrd perq aray (63663) |
$4,875.45 |
$5,924 |
0.7× |
| Revise ulnar nerve at elbow (64718) |
$3,294.47 |
$4,003 |
1.6× |
| Revise/Remove Neuroreceiver (63688) |
$2,083.01 |
$2,531 |
0.6× |
| Revision of iris (66761) |
$1,729.12 |
$2,101 |
3.0× |
| Revision of leg vein (37780) |
$3,411.34 |
$4,145 |
1.0× |
| Revision of lower leg tendon (27685) |
$3,917.48 |
$4,760 |
1.2× |
| Revision of tips (37183) |
$4,676.29 |
$5,682 |
0.8× |
| Revision of toe (28312) |
$2,329.09 |
$2,830 |
0.7× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$9,625.81 |
$11,696 |
0.7× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$9,241.47 |
$11,229 |
0.7× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$11,513.77 |
$13,990 |
0.6× |
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883)
unusually low: confirm this is the full procedure |
$2,864.04 |
$3,480 |
0.5× |
Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition Facility (35881)
unusually low: confirm this is the full procedure |
$2,644.30 |
$3,213 |
0.5× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) |
$4,786.57 |
$5,816 |
0.8× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$5,333.04 |
$6,480 |
0.9× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$10,002.74 |
$12,154 |
0.8× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,135.99 |
$5,025.50 |
1.1× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$13,179.52 |
$16,014 |
2.2× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$29,038.73 |
$35,284 |
1.5× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$21,177.44 |
$25,732 |
1.1× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$41,047.12 |
$49,875 |
2.2× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$30,785.14 |
$37,406 |
1.6× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$24,817.56 |
$30,155 |
2.1× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$15,252.66 |
$18,533 |
1.3× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$14,230.49 |
$17,291 |
1.2× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$11,577.14 |
$14,067 |
1.0× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$11,721.17 |
$14,242 |
2.0× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$14,230.49 |
$17,291 |
1.2× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$11,473.44 |
$13,941 |
1.0× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$19,077.96 |
$23,181 |
1.0× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$15,310.27 |
$18,603 |
0.8× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$38,049.76 |
$46,233 |
2.0× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$32,034.45 |
$38,924 |
1.7× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$22,418.52 |
$27,240 |
1.2× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$17,037.75 |
$20,702 |
0.9× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$4,743.56 |
$5,763.75 |
2.2× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,300.75 |
$1,580.50 |
2.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$813.12 |
$988 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$418.91 |
$509 |
3.1× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$337.84 |
$410.50 |
0.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,257.90 |
$2,743.50 |
0.8× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$5,223.58 |
$6,347 |
2.2× |
| Rmvl of subq defibrillator (33272) |
$3,752.06 |
$4,559 |
1.0× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$4,338.86 |
$5,272 |
1.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,354.55 |
$4,076 |
0.9× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,645.84 |
$5,645 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,208.93 |
$2,684 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,508.15 |
$1,832.50 |
2.3× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$3,566.06 |
$4,333 |
1.5× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$3,022.88 |
$3,673 |
0.8× |
| Rplc gtube revj gstrst trc (43763) |
$2,100.30 |
$2,552 |
8.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,254.96 |
$3,955 |
2.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,546.36 |
$3,094 |
1.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,602.22 |
$5,592 |
1.4× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,257.38 |
$5,173 |
1.3× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,379.13 |
$6,536 |
0.9× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,692.03 |
$3,271 |
0.7× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$6,974.92 |
$8,475 |
1.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,309.28 |
$4,021 |
0.9× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$4,254.91 |
$5,170 |
0.6× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$3,608.03 |
$4,384 |
0.6× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$4,724.43 |
$5,740.50 |
6.5× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$4,677.93 |
$5,684 |
0.8× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$4,815.37 |
$5,851 |
1.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$3,224.51 |
$3,918 |
2.0× |
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure |
$3,719.96 |
$4,520 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,776.86 |
$2,159 |
2.3× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$1,485.52 |
$1,805 |
6.1× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$8,326.29 |
$10,117 |
1.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$2,377.24 |
$2,888.50 |
4.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$2,138.16 |
$2,598 |
3.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,875.56 |
$3,494 |
1.8× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$2,841.82 |
$3,453 |
0.8× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$2,629.48 |
$3,195 |
0.8× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$6,428.86 |
$7,811.50 |
1.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$5,341.27 |
$6,490 |
1.6× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$5,311.64 |
$6,454 |
1.6× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$3,123.28 |
$3,795 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$2,615.49 |
$3,178 |
1.5× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$5,042.52 |
$6,127 |
2.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,378.94 |
$1,675.50 |
1.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,855.46 |
$2,254.50 |
1.5× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$2,366.95 |
$2,876 |
0.8× |
| Shave skin lesion 0.5 cm/< (11300) |
$388.46 |
$472 |
0.9× |
| Shave skin lesion 0.5 cm/< (11305) |
$356.77 |
$433.50 |
1.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$451.82 |
$549 |
2.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$563.76 |
$685 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$481.46 |
$585 |
2.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$435.37 |
$529 |
2.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$460.88 |
$560 |
1.1× |
| Shoulder arthroscopy (29805) |
$2,989.96 |
$3,633 |
0.9× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,916.66 |
$4,759 |
1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$439.90 |
$534.50 |
2.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$640.70 |
$778.50 |
1.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$477.34 |
$580 |
2.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$619.31 |
$752.50 |
1.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$432.90 |
$526 |
2.1× |
| Sigmoidoscopy & decompress (45337) |
$1,356.30 |
$1,648 |
1.4× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,978.08 |
$2,403.50 |
1.6× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$2,310.98 |
$2,808 |
1.9× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,757.93 |
$2,136 |
1.8× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,190.88 |
$1,447 |
1.0× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,658.76 |
$2,015.50 |
1.7× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,468.23 |
$1,784 |
1.2× |
Sigmoidoscopy place stent (45347)
unusually low: confirm this is the full procedure |
$2,073.96 |
$2,520 |
0.3× |
| Sigmoidoscopy w/biopsy (45331) |
$1,166.60 |
$1,417.50 |
1.2× |
| Sigmoidoscopy w/fb removal (45332) |
$1,496.21 |
$1,818 |
1.2× |
| Sigmoidoscopy w/us guide bx (45342) |
$2,318.39 |
$2,817 |
1.9× |
| Simple Cystometrogram (51725) |
$958.80 |
$1,165 |
3.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$689.68 |
$838 |
1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$486.40 |
$591 |
2.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$395.86 |
$481 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,248.49 |
$1,517 |
3.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$604.90 |
$735 |
2.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$517.67 |
$629 |
2.5× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$483.92 |
$588 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$507.38 |
$616.50 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$814.36 |
$989.50 |
3.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$562.11 |
$683 |
2.7× |
| Skin splt grft trnk/arm/leg (15100) |
$4,168.50 |
$5,065 |
2.0× |
| Skin sub graft face/nk/hf/g (15275) |
$1,215.58 |
$1,477 |
1.6× |
| Skin sub graft trnk/arm/leg (15271) |
$1,450.12 |
$1,762 |
1.9× |
| Skin sub grft t/arm/lg child (15273) |
$1,949.68 |
$2,369 |
0.9× |
| Skin tissue rearrangement (14040) |
$3,016.30 |
$3,665 |
1.4× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,112.53 |
$4,997 |
1.1× |
| Skn sub grft f/n/hf/g child (15277) |
$3,074.73 |
$3,736 |
1.4× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$8,010.26 |
$9,733 |
1.4× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$6,495.12 |
$7,892 |
2.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$12,038.02 |
$14,627 |
2.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,468.07 |
$5,429 |
0.9× |
| Small Bowel Endoscopy (44373) |
$2,519.20 |
$3,061 |
1.3× |
| Small bowel endoscopy (44366) |
$3,139.74 |
$3,815 |
1.6× |
| Small bowel endoscopy (44364) |
$2,612.20 |
$3,174 |
1.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$3,212.17 |
$3,903 |
1.6× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$2,189.18 |
$2,660 |
1.1× |
| Small bowel endoscopy/biopsy (44377) |
$3,455.78 |
$4,199 |
1.7× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$4,835.12 |
$5,875 |
2.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$2,350.49 |
$2,856 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$518.49 |
$630 |
2.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$644.41 |
$783 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$827.52 |
$1,005.50 |
2.0× |
| Snip incision lacrimal punctum (68440) |
$652.22 |
$792.50 |
2.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$4,575.06 |
$5,559 |
1.6× |
| Spinal puncture lumbar diagnostic (62270) |
$984.31 |
$1,196 |
1.4× |
| Spinal Puncture Therapeutic (62272) |
$778.97 |
$946.50 |
1.1× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$4,994.58 |
$6,068.75 |
1.5× |
| Strapping ankle (29540) |
$109.05 |
$132.50 |
0.7× |
| Strapping elbow or wrist (29260) |
$194.22 |
$236 |
3.2× |
| Strapping hand/finger (29280) |
$127.98 |
$155.50 |
2.1× |
| Strapping knee (29530) |
$113.98 |
$138.50 |
0.8× |
| Strapping shoulder (29240) |
$119.34 |
$145 |
0.9× |
| Strapping toes (29550) |
$59.26 |
$72 |
1.0× |
| Strapping unna boot (29580) |
$451.62 |
$548.75 |
2.7× |
| Subconjunctival injection (68200) |
$195.05 |
$237 |
0.4× |
| Suction assisted lipectomy lower extremity (15879) |
$1,543.12 |
$1,875 |
0.4× |
| Suction assisted lipectomy; upper extremity (15878) |
$925.88 |
$1,125 |
0.4× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$3,612.15 |
$4,389 |
1.1× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$4,096.07 |
$4,977 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$270.76 |
$329 |
0.6× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)
unusually low: confirm this is the full procedure |
$11,902.23 |
$14,462 |
0.4× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
likely a partial charge, not the full procedure |
$4,262.32 |
$5,179 |
0.2× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$4,075.50 |
$4,952 |
1.3× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924)
unusually low: confirm this is the full procedure |
$3,269.78 |
$3,973 |
0.4× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$4,366.02 |
$5,305 |
1.3× |
| Tenodesis long tendon biceps (23430) |
$4,958.58 |
$6,025 |
0.7× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$3,185.01 |
$3,870 |
0.9× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$2,374.36 |
$2,885 |
1.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$942.34 |
$1,145 |
0.6× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,540.66 |
$1,872 |
0.9× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,609.73 |
$3,171 |
0.8× |
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure |
$3,267.31 |
$3,970 |
0.4× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,475.22 |
$1,792.50 |
0.9× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$1,865.74 |
$2,267 |
0.6× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$2,106.88 |
$2,560 |
1.3× |
| Ther Apheresis,Plasma Pheresis (36514) |
$4,221.99 |
$5,130 |
2.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,522.55 |
$1,850 |
2.1× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
unusually low: confirm this is the full procedure |
$6,584 |
$8,000 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$2,079.93 |
$2,527.25 |
3.2× |
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875)
unusually low: confirm this is the full procedure |
$1,785.09 |
$2,169 |
0.3× |
| Throat Surgery Procedure (42999) |
$693.79 |
$843 |
2.8× |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876)
unusually low: confirm this is the full procedure |
$2,841 |
$3,452 |
0.5× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
$3,422.86 |
$4,159 |
0.6× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$4,792.95 |
$5,823.75 |
0.8× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$7,444.86 |
$9,046 |
2.3× |
| Thrombolytic Art Therapy (37211) |
$12,362.28 |
$15,021 |
2.2× |
| Thrombolytic Venous Therapy (37212) |
$6,811.15 |
$8,276 |
2.1× |
| Thyroid biopsy (60100) |
$874.85 |
$1,063 |
1.2× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$10,864.42 |
$13,201 |
1.8× |
| Tnot elbow lateral/medial debride open (24358) |
$3,387.47 |
$4,116 |
1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$4,425.27 |
$5,377 |
1.3× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$9,697.41 |
$11,783 |
0.5× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$9,820.04 |
$11,932 |
0.5× |
| Total hip arthroplasty (27130) |
$10,561.15 |
$12,832.50 |
0.8× |
| Total Knee Arthroplasty (27447) |
$10,823.48 |
$13,151.25 |
0.8× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$680.62 |
$827 |
1.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,544.36 |
$1,876.50 |
6.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,753.81 |
$2,131 |
1.1× |
| Tracheotomy tube change (31502) |
$205.34 |
$249.50 |
0.8× |
| Transcatheter biopsy (37200) |
$9,207.72 |
$11,188 |
1.6× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$5,658.95 |
$6,876 |
1.0× |
| Transplant hand tendon (26480) |
$5,414.52 |
$6,579 |
1.6× |
| Transur electr resection of prostate (52601) |
$4,846.65 |
$5,889 |
0.9× |
| Transurethral resection bladder neck (52500) |
$2,916.71 |
$3,544 |
0.8× |
| Treat Big Toe Fracture (28505) |
$3,788.27 |
$4,603 |
1.1× |
| Treat clavicle dislocation (23540) |
$1,397.46 |
$1,698 |
5.5× |
| Treat clavicle fracture (23505) |
$2,348.84 |
$2,854 |
1.4× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$3,812.14 |
$4,632 |
0.3× |
| Treat Elbow Fracture (24635) |
$4,301.82 |
$5,227 |
0.6× |
| Treat humerus fracture (24500) |
$1,362.06 |
$1,655 |
5.4× |
| Treat humerus fracture (23600) |
$1,741.88 |
$2,116.50 |
6.8× |
| Treat knee fracture (27532) |
$3,872.22 |
$4,705 |
1.1× |
| Treat Knee Fracture (27535) |
$5,927.25 |
$7,202 |
0.8× |
| Treat Knee Fracture(S) (27538) |
$953.86 |
$1,159 |
3.7× |
| Treat Kneecap Fracture (27524) |
$5,007.96 |
$6,085 |
0.7× |
| Treat Lower Leg Bone Lesion (27607) |
$4,198.12 |
$5,101 |
1.2× |
| Treat Lower Leg Fracture (27828) |
$8,854.66 |
$10,759 |
0.7× |
| Treat Metatarsal Fracture (28475) |
$1,697.02 |
$2,062 |
6.7× |
| Treat scapula fracture (23585) |
$6,460.14 |
$7,849.50 |
0.9× |
| Treat shoulder blade fx (23575) |
$3,396.52 |
$4,127 |
2.0× |
| Treat Thigh Fracture (27245) |
$8,090.09 |
$9,830 |
1.1× |
| Treat Thumb Dislocation (26641) |
$2,717.96 |
$3,302.50 |
10.7× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$3,143.04 |
$3,819 |
1.9× |
| Treat Vaginal Bleeding (57180) |
$1,002.41 |
$1,218 |
4.8× |
| Treat wrist bone fracture (25622) |
$2,450.07 |
$2,977 |
9.6× |
| Treat Wrist Bone Fracture (25630) |
$2,258.72 |
$2,744.50 |
8.9× |
| Treatment closed elbow dislocation req anes (24605) |
$3,209.29 |
$3,899.50 |
1.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,629.13 |
$1,979.50 |
6.4× |
| Treatment of fibula fracture (27784) |
$4,506.75 |
$5,476 |
0.6× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$8,093.38 |
$9,834 |
1.1× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,872.32 |
$2,275 |
0.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,661.22 |
$2,018.50 |
6.5× |
| Treatment of tibia fracture (27756) |
$3,906.78 |
$4,747 |
0.5× |
| Trim skin lesion (11055) |
$194.64 |
$236.50 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$213.98 |
$260 |
1.0× |
| Trim skin lesions over 4 (11057) |
$159.66 |
$194 |
0.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$72.84 |
$88.50 |
1.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$15,912.70 |
$19,335 |
2.7× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$19,164.38 |
$23,286 |
3.3× |
| Tube thoracostomy includes water seal (32551) |
$1,521.32 |
$1,848.50 |
0.9× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
unusually low: confirm this is the full procedure |
$5,698.45 |
$6,924 |
0.4× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,734.83 |
$3,323 |
1.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,336.91 |
$2,839.50 |
1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,050.14 |
$1,276 |
1.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$647.70 |
$787 |
1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,101.12 |
$2,553 |
1.3× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
unusually low: confirm this is the full procedure |
$5,617.80 |
$6,826 |
0.4× |
| Tympanostomy (69433) |
$661.69 |
$804 |
1.2× |
| Tympanostomy general anesthesia (69436) |
$1,035.95 |
$1,258.75 |
0.6× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$3,897.73 |
$4,736 |
1.1× |
| Unlisted Cardiac Surgery (33999) |
$22,747.72 |
$27,640 |
35.1× |
| Unlisted laparoscopic procedure liver (47379) |
$14,409.91 |
$17,509 |
2.3× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure |
$375.29 |
$456 |
0.1× |
| Unlisted Procedure Lungs & Pleura (32999) |
$1,565.35 |
$1,902 |
2.4× |
| Unlisted Procedure Small Intestine (44799) |
$1,877.26 |
$2,281 |
2.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$3,385.82 |
$4,114 |
5.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$432.90 |
$526 |
0.5× |
| Unlisted procedure, maternity care and delivery (59899) |
$316.03 |
$384 |
1.5× |
| Urine flow measurement (51736) |
$82.30 |
$100 |
0.6× |
| Urology Surgery Procedure (53899) |
$955.50 |
$1,161 |
3.7× |
| Us urine capacity measure (51798) |
$134.97 |
$164 |
2.2× |
| Vaginal delivery only (59409) |
$3,039.75 |
$3,693.50 |
0.9× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$4,329.80 |
$5,261 |
0.8× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$4,686.98 |
$5,695 |
0.9× |
| Vasc embolize/occlude artery (37242) |
$24,763.25 |
$30,089 |
1.3× |
| Vasc Embolize/Occlude Bleed (37244) |
$13,561.39 |
$16,478 |
1.1× |
| Vasc embolize/occlude organ (37243) |
$29,020.63 |
$35,262 |
2.4× |
| Vasc embolize/occlude venous (37241) |
$14,326.78 |
$17,408 |
1.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,780.56 |
$2,163.50 |
0.8× |
| Venipuncture (36415) |
$30.45 |
$37 |
3.3× |
| Vulvectomy Simple Partial (56620) |
$3,153.74 |
$3,832 |
0.9× |
| Wedge excision skin nail fold (11765) |
$529.18 |
$643 |
1.3× |
| Wedging of cast (29740) |
$426.73 |
$518.50 |
1.5× |
| Windowing of cast (29730) |
$310.68 |
$377.50 |
1.9× |
| Wound Prep F/N/Hf/G (15004) |
$1,397.86 |
$1,698.50 |
3.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,785.91 |
$2,170 |
2.3× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$4,850.35 |
$5,893.50 |
0.9× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$7,184.79 |
$8,730 |
1.3× |